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The implementation and utilization of programmes for the prevention of mother-to-child transmission (PMTCT) of HIV in most low income countries has been described as sub-optimal.
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In 2006, the South African Department of Health adopted and scaled-up loveLife's Youth Friendly Services YFSS) initiative to a national policy to improve youth utilization of health programmes by strengthening community sensitisation and counselling services.
Only few studies have investigated the economy and the healthcare utilization of the integrated care programmes [ 7].
Even selection and utilization of diverse cultivars in breeding programmes is needed to enhance the diversity of breeding populations for selection gains in the future [ 47].
Apart from sub-Saharan Africa, a study in Bolivia reported poor responsiveness from health providers as contributing to low utilization of facilities at childbirth despite programmes to achieve universal maternal-child health services [ 27].
Our finding of more women returning to give birth at health facility supports population data from other studies reporting increased utilization of health facilities for deliveries in programmes implementing advanced distribution of misoprostol [ 31].
Findings from existing voucher programmes show increased utilization of reproductive health services among target population groups as a result of such interventions (Ir et al. 2010; Agha 2011; Bellows et al. 2011; Bellows et al. 2013; Obare et al. 2013).
For example, since geographic proximity to SEPs is an important predictor of programme utilization and risk behavior [ 34, 35], it is possible that many MA injectors either are not in close proximity to SEPs or avoid areas where they are located.
There is, therefore, a need for further investigation of the successes and failure of control through utilization programmes (Geesing et al. 2004).
In fact, maternal education may lead to improvements in utilization of primary health care services such as vaccination programmes and other child survival programmes [ 15- 21].
This paper examines community-level association between exposure to the reproductive health vouchers programme in Kenya and utilization of services.
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